Compliance with Universal/Standard Precautions among health care workers in rural north India
| Autor: | Wendy Holmes, Biangtung Langkham, Sandy Gifford, Damien Jolley, Mathew Santhosh Thomas, Michelle Kermode |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Health Knowledge Attitudes Practice Epidemiology Cross-sectional study Health Personnel Psychological intervention India Risk Factors Environmental health Occupational Exposure Surveys and Questionnaires Health care Medicine Infection control Humans Response rate (survey) Infection Control business.industry Health Policy Risk of infection Data Collection Public Health Environmental and Occupational Health Universal Precautions Risk perception Personnel Hospital Infectious Diseases Cross-Sectional Studies Universal precautions Guideline Adherence Rural Health Services business |
| Zdroj: | American journal of infection control. 33(1) |
| ISSN: | 0196-6553 |
| Popis: | Background Universal Precautions (UPs) and more recently Standard Precautions have been widely promoted in high-income countries to protect health care workers (HCWs) from occupational exposure to blood and the consequent risk of infection with bloodborne pathogens. In low-income countries, the situation is very different: UPs are often practiced partially, if at all, thereby exposing the HCWs to unnecessary risk of infection. The aim of this study is to describe rural north Indian HCWs knowledge and understanding of UPs and identify predictors of compliance to target intervention programs appropriately. Methods A cross-sectional survey was undertaken, involving 266 HCWs (response rate, 87%) from 7 rural north Indian health care settings. Information was gathered regarding compliance with UPs and a range of other relevant variables that potentially influence compliance (eg, demographic information, perception of risk, knowledge of bloodborne pathogen transmission, perception of safety climate, and barriers to safe practice). Results Knowledge and understanding of UPs were partial, and UPs compliance was suboptimal, eg, only 32% wore eye protection when indicated, and 40% recapped needles at least sometimes. After controlling for confounding, compliance with UPs was associated with being in the job for a longer period, knowledge of bloodborne pathogen transmission, perceiving fewer barriers to safe practice and a strong commitment to workplace safety climate. Conclusion Interventions to improve UPs compliance among HCWs in rural north India need to address not only their knowledge and understanding but also the safety climate created by the organizations that employ them. |
| Databáze: | OpenAIRE |
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